COMMUNITY MEDICAL CENTER OF WESTERN IL Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED DIVISION III PHARMACY

License Number

059013406

License Status

CHANGE OF OWNERSHIP

Business

Business Name

COMMUNITY MEDICAL CENTER OF WESTERN IL

Original Issue Date

06/15/1998

Effective Date

02/08/2006

Expiration Date

03/31/2008

City

MONMOUTH

State

Zip

61462

County

WARREN

Ever Disciplined

LastModifiedDate

05/16/2007

Case Number

2005003162

Action

Fine

Discipline Start Date

02/06/2006